SG Pediatrics of Lake Orion

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SG PEDIATRICS OF LAKE ORION

Practice address

1455 S Lapeer Rd Ste 134
Lake Orion, MI 48360-1468

Phone

(248) 683-3385

Fax

(248) 683-8441

NPI assigned

Aug 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Swarajyalaxmi Rao, MD

Title

Owner

Phone

(248) 638-3385

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Praveena Sampath, M.D.

  • Pediatric Adolescent Medicine Physician
  • Lake Orion, MI
  • NPI 1992921621

  Pediatrics

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1558518613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S LAPEER RD STE 134",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601468",
            "telephone_number": "248-683-3385",
            "fax_number": "248-683-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S LAPEER RD STE 134",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601468",
            "telephone_number": "248-683-3385",
            "fax_number": "248-683-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG PEDIATRICS OF LAKE ORION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SWARAJYALAXMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-638-3385",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Noel Schuit
• Denise Louise Seidl, OTR CHT
• Rita Mary Senawe, RPH
• Lucas Arthur Sereno
• Seven Oaks Professional, PLLC
• William J Shafer
• Kymberly Sharpe, PHARMD
• Nail Michael Sheena, RPH
• Sandra Sheridan
• Jodi Jean Sides, OTR/L

• Pediatrics Physician in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.